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Dr. Dale Carlton Fazio, DPM
Podiatrist in Shreveport, Louisiana
NPI 1194723577

Dale Carlton Fazio is a Podiatrist based in Shreveport, LA. Dale Carlton Fazio practices in Shreveport, LA and has the professional credentials of DPM. The NPI Number for Dale Carlton Fazio is 1194723577 and holds a License No. PD009 (Louisiana).

The current practice location address for Dale Carlton Fazio is 1914 E 70Th St, Shreveport, LA and can be reached out via phone at 318-797-3470 and via fax at 318-797-9956.

Location: 1914 E 70Th St, Shreveport, LA, 71105-5312
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Provider Profile Details
NPI Number
1194723577
Provider Name
Dale Carlton Fazio
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1914 E 70Th St, Shreveport, LA, 71105-5312
Phone Number
318-797-3470
Fax Number
318-797-9956
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1318451 05 LA
institution
Provider Business Practice Location Address Details
Address
1914 E 70Th St
City
State
Zip
71105-5312
Phone Number
318-797-3470
Fax Number
318-797-9956
person
Provider Business Mailing Address Details
Address
1914 E 70Th St
City
State
Zip
71105-5312
Phone Number
318-797-3470
Fax Number
318-797-9956
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
PD009 (Louisiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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